| Doctor Name: | RON SASSO |
| NPI Number: | 1033419189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.C.C., L.P.C.,CBIST |
| License Number: | NCC - 46969 |
| Business Practice Address: | 803 Soo San Dr Rapid City, SD - 577023142 |
| Business Phone Number: | 6057188446 |
| Business Fax Number: | 6057219858 |
| Mailing Address: | 803 Soo San Dr, RAPID CITY |
| State: | SD |
| Postal Code: | 577023142 |
| Phone Number: | 6057188446 |
| Fax Number: | 6057219858 |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | NCC - 46969 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |